Septoplasty Vs Rhinoplasty for Crooked Nose? Doctor Answers, Tips
Septoplasty: Q&A
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Septoplasty Vs Rhinoplasty for Crooked Nose?

I have a crooked nose. Will Septoplasty fix it or will I need Rhinoplasty as well? Are there any closed options available? Looking at my picture, if I get Septoplasty, should I get Rhinoplasty anyway to make my nose smaller?

23 Doctor Answers | Asked by the_carter in wichita
+3

Correcting a Crooked Nose

A septoplasty is a surgery performed to correct a deviated (or crooked) septum. A true "septoplasty" does not involve changing the shape of the nose. The septum is the piece of cartilage that separates one side of the nose from the other. Normally, the septum is straight. When it is crooked, it is termed a deviated septum. A deviated septum can block the nasal passage and contribute to symptoms of nasal obstruction. Correction of a deviated septum with a septoplasy involves making... more
+2

Rhinoplasty will straighten nose while septoplasty will improve breathing

A septoplasty will fix the internal breathing component of the nose and will not straighten the external portion. The septoplasty is simply performed for improving airflow dynamics and breathing through the nose. If the external portion of the nose is crooked, the nasal bones will have to be reset through a rhinoplasty. This is done through a closed rhinoplasty technique where all the incisions are made on the inside of the nose. It does not have to be an open rhinoplasty. If you... more
+2

Septoplasty and Rhinoplasty are often done together.

In general, where there's a crooked or skewed external appearance, there's also a skewed or deviated septum. Typically, both the septum and the external framework of the nose need to be addressed at the same time. This, of course, means septoplasty and rhinoplasty (a.k.a., septorhinoplasty). Closed approaches may work just fine, but my general preference is an open approach, especially for the crooked nose. One important factor to consider, though, is whether the face itself is skewed. In... more

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+2

Rhinoplasty, Septoplasty, or Both for Crooked Male Nose?

Hi Carter, You need to decide if the external appearance of your nose bothers you. If it does, other than the crookedness, then you need to decide what features are bothersome, and what you would like it to look like after rhinoplasty. You should only make your nose smaller if it is something that has troubled you for some time. Occasionally just straightening a deviated septum will correct a crooked nose. If the nose remains crooked after septoplasty, then other techniques are necessary to... more
+2

Nose and septum

It is tough to tell accurately from just a single picture and no physical examination. Your nasal bones appear deviated. This should typically be repaired in addition to the septum. Also of any other aspects of the nasal appearance bother you, that would be the time. It would be a shame to throw away valuable nasal septal cartilage if it might help in the reconstruction of a droopy tip..
+2

Septoplasty does not usually change the appearance of your nose.

If you're happy with the appearance of your nose, then you don't need a Rhinoplasty. If you'd like your nose straighter, and smaller, then Rhinoplasty would be suitable. If you have chronic nasal blockage on one side only, then your septum is probably deviated towards the side of the blockage. Repairing that alone would not likely change the external appearance, but could improve your breathing. I hope this helps, and best regards.
+1

Septoplasty vs. Rhinoplasty for Crooked Nose

Thank you for the question and your photo. Septoplasty is generally performed from inside the nose ("closed") and involves straightening the cartilage/bone in the septum to improve nasal breathing. In many case, the deviated or damaged portions of the septum need to be removed, while preserving the lining of the septum. With a traditional septoplasty, no changes to the external nose are expected. In the case of a crooked nose, typically from trauma, a "septorhinoplasty" may be... more
+1

Septoplasty and rhinoplasty in the treatment of the crooked nose

The terms septoplasty and rhinoplasty can be very confusing for patients. Truly treating a crooked nose involved separating the five major aesthetic structural units from eachother, the paired upper lateral cartilages, the paired lower lateral cartilages and the septum. Once this is completed, a submucuos resection of the central septum is completed. It is only after these steps that the forces and form of each structure can be evaluated and treated. The components... more
+1

Septoplasty and deviated nose

Deviation of the nose is more common than it is diagnosed  and is mostly associated with deviated septum. From your picture, it appears there is some facial asymmetry which is seen to a certain degree in everyone. Complete correction of deviated nose involves correction of both components in order to achieve a good result. 
+1

Rhinoplasty Helps Straighten a Crooked Nose

A septoplasty alone will not straighten the external crooked portion of your nose.  A rhinoplasty would address the external deviation.  A closed or open approach could be used to accomplish this goal.
+1

Rhinoplasty vs. Septoplasty

Rhinoplasty is a purely cosmetic procedure that is designed to improve the appearance of the nose. Insurance generally will not reimburse patients for this procedure. Rhinoplasty is generally performed for a variety of reasons including: correcting a hump in the nose, straightening the nose, or correcting the width of the nose. Conversely, septoplasty surgery corrects a deviated septum. The primary purpose is to help a patient breath more easily. This procedure is generally... more
+1

Septoplasty alone rarely fixes a crooked nose

Septoplasty will improve breathing and will sometimes improve asymmetry of nostrils but if the whole nose is asymmetric then a rhinoplasty is also required. The approach can be opened or closed depending on the extent of the problem and your surgeon's preference.
+1

Deviated nose and endonasal rhinoplasty

Septoplasty alone will not fix a crooked nose. This will require rhinoplasty as well to either straighten the bones and or cartilagenous structures of the nose.  A closed rhinoplasty is always an option, and can be used to fix the deviation without external scars.
+1

It's about nasal form and function

Nasal surgery is complex and there is no way to tell without more information if you need septo or rhino, or both. Septoplasty may be required to not only straighten your nose, but also improve your breathing. Then there is the issues of your turbinates, which may also need to be addressed at the time of septoplasty. The rhinoplasty may mean bone and cartilage reduction, also moving the entire nasal complex with osteotomies (bone cuts). The closed option is possible, but there is more... more
+1

Septoplasty or rhinoplasty to straighten the nose

A septoplasty in and of itself will not straighten your nose but as part of a rhinoplasty it can play an important role. The boney/cartilagenous external armiture(framework) of your nose needs to be corrected as part of the overall proceedure(rhinoplasty). See the pictures on my site which show the exact same case.
+1

The key to a straight nose is a straight septum

In general the key to a straight nose is a straight septum. Your septum must be aligned in the midline and straightened first. Then a rhinoplasty including a re-alignment of the nasal bones must also be performed. During a physical examination the exact shape and structure of your nasal bones and cartilage can be determined and an appropriate surgical plan can be developed.
+1

In your case

The nose is like a T-Pee. The septum is in the middle and supports the sides. Looking at your nose, the whole pyramid is off, and the tip could use some refinement as well. My opinion, without benefit of exam, you will not achieve your goals with septo alone. There are many fine rhinoplasty surgeons who can do the procedure closed, but the open technique is excellent for your concerns too.
+1

Rhinoplasty vs Septoplasty

Getting a septoplasty will straighten your septum and may straighten the appearance of your nose. Combining the two will do both if you want improvement of the external appearance of the nose as well. 
+1

It depends on the surgeon and the surgery.

 It depends on what you want. If you just want the septum straightened, that is a septoplasty. If you want the nose shape changed as well, that's a septorhinoplasty. Choose an experienced rhinoplasty surgeon to help you decide.
+1

You need an exam

Just septoplasty does not make changes in appearance of nose. however, when you have a deviated nose and septum, you need to receive septoplasty and rhinoplasty as well. I hope that help you.
+1

Septorhinoplasty will be necessary

Certainly, both the septum and the "outer" nasal structures require attention in order to straighten your nose. This procedure is sometimes also called septorhinoplasty. The septum will require definite attention in order to achieve a good straightening but a septoplasty by itself will do very little. I would recommend to see an experience rhinoplasty surgeon for consultation and thorough exam. Best of luck!
+1

Depends on exam

Hi, We cannot see the inside of your nose so its hard to tell. A deviated septum will most likely make your nose look deviated. The old saying in Rhinoplasty surgery is "as goes the septum so goes the nose!" If the septum is deviated, the nose cannot be straightened without a septoplasty. But a septoplasty alone may not be enough. Other components of the nose must also be examined and addressed such as asymmetries in the nasal bones and middle vault cartilages if any. more
+1

Septoplasty versus Rhinoplasty

Septoplasty would be a component of rhinoplasty.  It all really depends on if you are looking for functional and/or cosmetic changes to your nose.  There is not a right or wrong answer.  Good luck.
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